title: Radiosurgery for vestibular schwannomas.
abstract: This article investigates the role of radiosurgery and stereotactic radiotherapy in the management of vestibular schwannomas (VS), reviewing the authors' own prospective cohort and the current literature. For patients with large Stage IV VS (according to the Koos classification), a combined approach with deliberate partial microsurgical removal followed by radiosurgery to the residual tumor is proposed. The authors' cohort is unique with respect to the size of the population and the length of the follow-up, and demonstrates the efficacy and safety of VS radiosurgery, with particular regard to its high rate of hearing preservation.
authors.affiliation: Department of Stereotaxic and Functional Neurosurgery, Gammaknife Unit, La Timone University Hospital, Inserm U751, 264, Rue Saint-Pierre 13385 Marseille Cedex 5, France. Electronic address: jregis@mail.ap-hm.fr.
authors.forename: Jean
authors.initials: J
authors.lastname: Régis
authors.forename: Romain
authors.initials: R
authors.lastname: Carron
authors.forename: Christine
authors.initials: C
authors.lastname: Delsanti
authors.forename: Denis
authors.initials: D
authors.lastname: Porcheron
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Thomassin
authors.forename: Xavier
authors.initials: X
authors.lastname: Murracciole
authors.forename: Pierre-Hugues
authors.initials: PH
authors.lastname: Roche
mesh_terms: D006801:Humans; D009364:Neoplasm Recurrence, Local; D018365:Neoplasm, Residual; D009464:Neuroma, Acoustic / Q000473:pathology / Q000601:surgery*; D016634:Radiosurgery / Q000009:adverse effects / Q000379:methods*; D016896:Treatment Outcome
keywords: Acoustic neuromas; Facial palsy; Gamma Knife; Hearing; Imbalance; Radiosurgery; Tinnitus